开球损伤的致病活动和预后因素:基于登记的全市多中心研究。

IF 1.7 4区 医学 Q3 OPHTHALMOLOGY Ophthalmic epidemiology Pub Date : 2024-07-05 DOI:10.1080/09286586.2024.2372051
Jung Ho Kim, Hyun Wook Ryoo, Jong-Yeon Kim, Jae Yun Ahn, Sungbae Moon, Haewon Jung, Woo Young Nho
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引用次数: 0

摘要

目的:创伤性球部损伤分为闭合性球部损伤和开放性球部损伤(OGI);OGI 会导致较差的预后。我们旨在确定韩国一个大都市中 OGI 的致病活动和预后因素:这项回顾性观察研究使用了 2016 年 8 月 1 日至 2021 年 7 月 31 日期间在韩国大邱进行的前瞻性眼伤登记。我们确定了四家三级医院眼外伤的流行病学和视力结果。随访6个月时最佳视力低于数指的患者被认为视力不良:在9208名眼外伤患者中,有282人患有OGI。大多数 OGI 患者为男性(261 人,占 92.6%),其中 50 多岁的比例最大(76 人,占 27.0%)。最常见的致病活动是割草(59 人,占 20.9%),视力不佳最常见于袭击(7 人,占 87.5%)和体育活动(9 人,占 81.8%)。锤击、金属加工和体育活动在 30 岁以下的人群中最常见,而割草在 50 多岁(16,21.1%)和 60 多岁(29,40.3%)的人群中最常见。在多变量逻辑回归分析中,与交通事故和体育活动相关的 OGI 预后较差(交通事故的调整赔率比 [aOR] 为 13.259,95% 置信区间 [CI] 为 1.202-146.205;体育活动的调整赔率比 [aOR] 为 6.801,95% 置信区间 [CI] 为 1.064-43.487):结论:我们需要开发先进的车辆安全设备,开展宣传教育,推广安全带的使用和 OGI 的危害,制定关键诱因活动的护眼标准,并为体育活动和割草提供护眼设备。
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Causative Activities and Prognostic Factors of Open-Globe Injury: A Registry-Based City-Wide Multicentre Study.

Purpose: Traumatic globe injury is classified into closed-globe and open-globe injury (OGI); OGI leads to a worse prognosis. We aimed to identify causative activities and prognostic factors of OGI in a metropolitan city in South Korea.

Methods: This retrospective observational study used a prospective eye-injury registry conducted in Daegu, South Korea, between 1 August 2016 and 31 July 2021. We identified epidemiology and visual outcomes of OGI at four tertiary hospitals. Those with the best visual acuity lower than counting fingers at the 6-month follow-up were considered to have poor visual outcome.

Results: Of 9,208 patients with eye injuries, 282 had OGI. Most OGI patients were male (261, 92.6%), with the largest proportion in their 50s (76, 27.0%). The most frequent causative activity was mowing (59, 20.9%), and poor visual outcome was most seen in assault (7, 87.5%) and sports activity (9, 81.8%). Hammering, metal work, and sports activity were prevalent in those under 30, and mowing was most prevalent in those in their 50s (16, 21.1%) and 60s (29, 40.3%). In the multivariable logistic regression analysis, OGI related to traffic accident and sports activity were presented poor prognosis (adjusted odds ratio [aOR] 13.259, 95% confidence interval [CI] 1.202-146.205 for traffic accident; aOR 6.801, 95% CI 1.064-43.487 for sports activity).

Conclusion: We need to develop advanced vehicle safety equipment, implement public education promoting seat belt usage and hazards of OGI, establish eye protection standards for key causal activities, and provide eye protection equipment for sports activities and mowing.

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来源期刊
Ophthalmic epidemiology
Ophthalmic epidemiology 医学-眼科学
CiteScore
3.70
自引率
5.60%
发文量
61
审稿时长
6-12 weeks
期刊介绍: Ophthalmic Epidemiology is dedicated to the publication of original research into eye and vision health in the fields of epidemiology, public health and the prevention of blindness. Ophthalmic Epidemiology publishes editorials, original research reports, systematic reviews and meta-analysis articles, brief communications and letters to the editor on all subjects related to ophthalmic epidemiology. A broad range of topics is suitable, such as: evaluating the risk of ocular diseases, general and specific study designs, screening program implementation and evaluation, eye health care access, delivery and outcomes, therapeutic efficacy or effectiveness, disease prognosis and quality of life, cost-benefit analysis, biostatistical theory and risk factor analysis. We are looking to expand our engagement with reports of international interest, including those regarding problems affecting developing countries, although reports from all over the world potentially are suitable. Clinical case reports, small case series (not enough for a cohort analysis) articles and animal research reports are not appropriate for this journal.
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